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復發性結膜乳頭狀瘤之二氧化碳雷射治療
Carbon Dioxide Laser Treatment of Recurrent Conjunctival Papilloma
摘要
復發性結膜乳頭狀瘤由於病灶呈多處性而且組織脆弱容易出血，常造成外科手術無法完全切除乾淨。此種瘤又常與人類乳頭狀瘤病毒相關聯，而簡單的外科手術切除方式無法消滅其病毒甚至可能造成病毒的擴散，以致乳頭狀瘤復發。二氧化碳雷射有良好的止血作用，並對手術區域內完全滅菌，可封閉淋巴管以阻止病毒擴散，以利乳頭狀瘤之完全切除和預防其復發。本篇特報告一成功治癒之病例。
關鍵字
無資料並列摘要
Complete resection of recurrent conjunctival papilloma frequently may be exceedingly difficult, since such lesions are typically friable and multiobulated. Because the human papilloma virus (HPV) has been linked to some of these lesions, there remains the further possibility of spread with ”cold knife” resection. The carbon dioxide laser facilitates resection by providing a bloodless field and reduces the possibility of viral seeding of the conjunctiva by sterilizing the operative site and sealing the lymphatics. Eventually, we successfully utilized the carbon dioxide laser therapy for a case of recurrent conjunctival papilloma that had not well responded to the surgical resections.
延伸閱讀
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